Paul H Koziol Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PAUL H KOZIOL DENTAL CORPORATION

Practice address

4500 Lennox Blvd
Lennox, CA 90304-2216

Phone

(310) 672-2816

NPI assigned

Feb 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Koziol

Title

President Secretary

Phone

(310) 672-2816

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083758478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34647",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900340647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 LENNOX BLVD",
            "city": "LENNOX",
            "state": "CA",
            "postal_code": "903042216",
            "telephone_number": "310-672-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H KOZIOL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZIOL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY",
        "authorized_official_telephone_number": "310-672-2816",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lennox, CA
• Providers in Lennox, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.